Clinical Pharmacy Specialist

Job Summary 

We're opening eyes, hearts, and minds to the impact that a pharmacy team can have in changing lives. As part of Catalyst Health Group, Stellus Rx improves ease and outcomes in every moment that matters, along every health journey.  

Join our group of talented, committed team members-pharmacists, pharmacy care coordinators, technologists, product strategists and more-to create and expand the delivery of personalized health support that people didn't even know could be possible.  

The Clinical Pharmacy Specialist – Account Management help our communities thrive by helping connect newly-referred patients to our Stellus Engage pharmacy team. The Clinical Pharmacy Specialist – Account Management assists the Account Management team under the direction and supervision of the Chief Clinical Partner by providing support in identifying, outreaching, and educating patients about Stellus engage services through various communication channels. 

You will work closely with Stellus Rx leaders and across the organization, as we work collaboratively to unlock the health of millions of Americans by turning "use as prescribed" into a guarantee, not a direction. We are a culture that is unabashedly driven by purpose. We are making a difference to our patients and team members while growing at an accelerated rate. If you love serving others and would like to make a material difference in an industry‐transforming organization, then we invite you to apply to this role. Learn more about us at stellusrx.com. 

Accountabilities: 

This individual will need a broad working knowledge of the Stellus Engage service model or similar pharmacy-support services to drive enrollment growth and stellar patient satisfaction. You will develop superior customer experience knowledge and effectively educate and engage patients about the positive clinical impact pharmacy services can provide for them. 

Roles and Responsibilities: 

• Assumes responsibility for a broad range of activities in the patient engagement workflow from patient outreach through scheduling  

• Acts as a liaison for the patient between the referring physician or employer group and Engage pharmacist team  

• Complete patient outreach to connect with referred patients about Stellus Engage services 

• Confidently educate patients on Stellus Engage services and connection back to the PCP referral or employer group benefits 

• Coordinate scheduling of patients with respective Engage pharmacist for CMA/IMA  

• Professionally interact with patients on phone calls and/or text messages (SMS) 

• Monitor referral queue and workflow for new patient referral funnel and support in referral entry from Leading Reach or other defined referral channel into Engage platform 

• Works in partnership with Clinical Client Liaisons to: 

• Drive patient growth through management of patient referral workflow and funnel 

• Obtain, analyze, and deliver operational data to improve and drive enrollment rate improvements  

• Obtain, analyze, and deliver pertinent cost and clinical data to identify and promote patient referral volume for clients 

• Flag pre-identified patients for referral to provider/clients s within their native EMR systems 

• Works in close partnership with various Stellus business units (e.g. Operations, Marketing, Data, Product, Technology) to ensure contract performance and SLA achievement 

• Support in UAT for application needs related to Account Management team sign off 

• Understand confidentiality with respect to patient/client care; complying with all federal and state laws applicable to the confidentiality of protected health information (PHI) and electronic protected health information (EPHI); and follow HIPAA guidelines regarding readily identifiable protected health information.   

• Complete tasks as assigned, related to the referral workflow and Account Management in general 

• Accessing, inputting, and retrieving information through the Pharmacy’s computer network to maintain accurate records.  

• Comply with established procedures, rules, and regulations.  

• Completes clear and concise documentation in Care Management programs.  

• Promoting teamwork, professional services and clear communication 

Minimum Qualifications and Requirements: 

• Doctor of Pharmacy (PharmD)  with active licensure 

• CMS Quality Metrics, HIPAA & ACA knowledge  

• Excellent oral and written communication, including presentation skills 

• PC literate, including Microsoft Office products  

• Analytical and interpretive skills 

• Strong organizational skills  

• Excellent interpersonal skills 

• Leadership/management/motivational skills  

• Ability to work in a team environment 

• Excellent accounting ability 

• Strong understanding of claims management 

• In-depth knowledge of client services  

• Ability to handle conflict and confront challenging issues in a fast work environment  

• Able to influence and motivate others  

• Able to work with team members to identify where/when to apply as potential client solutions  

• Solid understanding of healthcare industry products and services